title: [The use of myocutaneous flap for reconstruction of surgical defects in the oropharyngeal area].
abstract: Oncological Dispensary of Leningrad Region, St.Petersburg Our paper deals with evaluation of the results of using distal pectoralis major myocutaneous flap (38) in 37 patients; bilateral dissection of tissue--1. Plastic reconstruction of surgical effects of the oral cavity and pharynx was performed in 27 (skin cancer--8, parotid salivary gland tumor--1). Flap was used to both shield the parotid artery and prevent erosive bleeding following radical cervical dissection, urgent plastic surgery--30, postponed--8. Complication, chiefly slight was reported in 60.5% and treated conservatively. Total necrosis was identified in 2 (5.3%), partial--4 (10.8%), salivary fistula--10 out of 27 reconstructions of the upper intestinal tract (18.4%), cervical suture failure--7 (18.4%), flap avulsion from wound edges--6 (15.8%), wound edge avulsion--2 (5.3%). Nasogastric probe for feeding was used for approx. 23.7 days. Feeding per os after the first operation was restored in 23 (85.2%). Repeat reconstruction using pectoralis major myocutaneous flap has proved effective in patients with surgical effects of head and neck.
authors.forename: L D
authors.initials: LD
authors.lastname: Roman
authors.forename: A V
authors.initials: AV
authors.lastname: Karpenko
authors.forename: N S
authors.initials: NS
authors.lastname: Chumanikhina
authors.forename: R R
authors.initials: RR
authors.lastname: Sibgatullin
authors.forename: D N
authors.initials: DN
authors.lastname: Dzsalilov
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery; D037981:Neck Dissection / Q000009:adverse effects*; D009336:Necrosis; D019370:Observation; D010369:Pectoralis Muscles / Q000601:surgery; D010610:Pharyngeal Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012467:Salivary Gland Fistula / Q000209:etiology / Q000601:surgery; D013524:Surgical Flaps; D016896:Treatment Outcome